Provider Demographics
NPI:1063707719
Name:EXCELLENT VALUE & ASSOCIATES
Entity type:Organization
Organization Name:EXCELLENT VALUE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUWABUNMI
Authorized Official - Middle Name:TEMITOPE
Authorized Official - Last Name:BECKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-639-1595
Mailing Address - Street 1:1514 COLLEGE ST APT 244
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4181
Mailing Address - Country:US
Mailing Address - Phone:972-639-1595
Mailing Address - Fax:
Practice Address - Street 1:1514 COLLEGE ST APT 244
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4181
Practice Address - Country:US
Practice Address - Phone:972-639-1595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health